Spontaneous Repetitive Tracheal Rupture

被引：1

作者：

Inal, Mehmet Turan ^{[1
]}

Memis, Dilek ^{[1
]}

Tuncbilek, Nermin ^{[2
]}

Tek, Seyda ^{[1
]}

Uyar, Ahmet Senol ^{[1
]}

Budak, Hasan ^{[1
]}

Yanik, Fazli ^{[3
]}

机构：

[1] Trakya Univ, Fac Med, Dept Intens Care, Tekirdag, Turkey

[2] Trakya Univ, Fac Med, Dept Radiol, Tekirdag, Turkey

[3] Trakya Univ, Fac Med, Dept Chest Surg, Tekirdag, Turkey

来源：

TURKISH JOURNAL OF INTENSIVE CARE-TURK YOGUN BAKIM DERGISI | 2019年 / 17卷 / 01期

关键词：

Tracheal rupture; corticosteroid; treatment; INTUBATION;

D O I：

10.4274/tybd.galenos.2017.92905

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Tracheal ruptures are one of the life-threatening situations in critical care unit and can be formed after trauma, intubation, tracheotomy, bronchoscopy or spontaneously. Significant risk factors for tracheal rupture include urgent intubation, use of stilet, high cuff pressure, recurrent intubation attempts, double lumen endotracheal tubes, very thick endotracheal tubes, female gender, short height, older age, tracheomalacia, tracheal stenosis, congenital tracheal abnormalities and chronic steroid therapy. Among these risk factors, corticosteroids can cause rupture by inhibiting collagen synthesis and reducing connective tissue stability. In this case report, a case with spontaneous recurrent tracheal rupture was defined and the underlying mechanisms and therapeutic approach to this complication that could be seen in patients using chronic steroids were discussed.

引用

页码：54 / 57

页数：4

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